• 한국노년학
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• v.37 no.1
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• pp.173-200
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• 2017

This study is designed to verify the actual effect on the prevention of the elderly suicide of the integrated crisis intervention service which has been widely provided across all local communities in Gyeonggi-province focusing on the integrated crisis intervention model developed for the prevention of elderly suicide. The integrated crisis intervention model for the local communities and its manual were developed for the prevention of elderly suicide by integrating the crisis intervention theory which contains local community's integrated system approach and the stress vulnerability theory. For the analysis of the effect, the geriatric depression and suicidal ideation scale was adopted and the data was collected as follows; The data was collected from 258 people in the first preliminary test. Then, it was collected from the secondary test of 184 people after the integrated crisis intervention service was performed for 6 months. The third collection of data was made from 124 people after 2 or 3 years later using the backward tracing method. As for the analysis, the researcher used the R Statistics computing to conduct the test equating, and the vertical scaling between measuring points. Then, the researcher conducted descriptive statistics analysis and univariate analysis of variance, and performed multi-level modeling analysis using Bayesian estimation. As a result of the study, it was found out that the integrated crisis intervention model which has been developed for the elderly suicide prevention has a statistically significant effect on the reduction of elderly suicide in terms of elderly depression and suicide ideation in the follow-up measurement after the implementation of crisis intervention rather than in the first preliminary scores. The integrated crisis intervention model for the prevention of elderly suicide was found to be effective to the extent of 0.56 for the reduction of depression and 0.39 for the reduction of suicidal ideation. However, it was found out in the backward tracing test conducted 2-3 years after the first crisis intervention that the improved values returned to its original state, thus showing that the effect of the intervention is not maintained for long. Multilevel analysis was conducted to find out the factors such as the service type(professional counseling, medication, peer counseling), characteristics of the client (sex, age), the characteristics of the counselor(age, career, major) and the interaction between the characteristics of the counselor and intervention which affect depression and suicidal ideation. It was found that only medication can significantly reduce suicidal ideation and that if the counselor's major is counseling, it significantly further reduces suicidal ideation by interacting with professional counseling. Furthermore, as the characteristics of the suicide prevention experts are found to regulate the intervention effect on elderly suicide prevention in applying integrated crisis intervention model, the primary consideration should be given to the counseling ability of these experts.

• Korean Journal of Social Welfare
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• v.66 no.1
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• pp.5-34
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• 2014

The purpose of this study was to evaluate the school-based post-suicide crisis intervention program for adolescents. Researchers implemented the post-suicide crisis intervention program for all the students, classmate students, teachers and staff members in seven middle/high schools where the suicidal accident happened. Researchers collected data from the three participant groups using open and closed questionnaires and documents, and analysed the data applying mixed evaluative methods. Main results were as follows; First, classmates in two classrooms responded that this crisis intervention program was useful for expressing the sad feeling and mourning their friend. Second, consciousness for life respect of classmates in four classrooms increased. Third, the meaning such as the change of consciousness for life respect and psychological stability was drawn from analysis of categorizing the responses to open questionnaires. Teachers and staffs in six schools responded to questionnaires that post-suicide crisis intervention was helpful for classmate students. Based on the results, practical guidelines were suggested.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.16
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• pp.6679-6683
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• 2014

Background: Carcinoid crisis is a life-threating syndrome of neuroendocrine tumors (NETs) characterized by dramatic blood pressure fluctuation, arrhythmias, and bronchospasm. In the era of booming anti-tumor therapeutics, this has become more important since associated stresses can trigger carcinoid crisis. Somatostatin analogues (SSTA) have been recommended for prophylactic administration before intervention procedures for functioning NETs. However, the efficacy is still controversial. The aim of this article is to review efficacy of SSTA for preventing carcinoid crisis. Materials and Methods: PubMed, Cochrane Controlled trials Register, and EMBASE were searched using 'carcinoid crisis' as a search term combining terms with 'somatostatin'; 'octreotide'; 'lanreotide' and 'pasireotide' until December 2013. Results: Twenty-eight articles were retrieved with a total of fifty-three unique patients identified for carcinoid crisis. The most common primary sites of NETs were the small intestine and respiratory tract. The triggering factors for carcinoid crisis included anesthesia/surgery (63.5%), interventional therapy (11.5%), radionuclide therapy (9.6%), examination (7.7%), medication (3.8%), biopsy (2%) and spontaneous (2%). No randomized controlled trials (RCTs) were identified and two case-control studies were included to assess the efficacy of SSTA for preventing carcinoid crisis by meta-analysis. The overall pooled risk of perioperative carcinoid crisis was similar despite the prophylactic administration of SSTA (OR 0.44, 95% CI: 0.14 to 1.35, p=0.15). Conclusions: SSTA wasnot helpful for preventing carcinoid crisis based on a meta-analysis of retrospective studies. Attentive monitoring and careful intervention are essential. Future studies with better quality are needed to clarify any effect of SSTA for preventing carcinoid crisis.

• Journal of Preventive Medicine and Public Health
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• v.43 no.3
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• pp.265-273
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• 2010

Objectives: Due to the economic crisis and globalization, many workers have been suffering from severe occupational stress due to job insecurity and struggles related to downsizing and restructuring. This study aims to assess the stress levels among workers involved in fierce labor disputes and massive layoffs and to evaluate their specific needs and satisfaction with counseling services set up to help workers cope with severely stressful situations? Methods: The authors provided crisis intervention to workers in traumatic situations to compare the differential level of stress responses and needs among the workers remaining employed in a large auto factory, those laid off by it, and those laid off by other companies in the same region (Pyeongtaek, Gyeonggi Province). We measured stress levels using the worker's stress response inventory (WSRI) and heart rate variability (HRV), and assessed workers' satisfaction with the counseling services. Results: 502 workers participated in the program. Fifty-seven percent of them consulted with occupational problems. The mean WSRI score of the workers remaining employed in the automobile factory was higher than that of the unemployed (employed: $39.8{\pm}19.9$ unemployed: $29.3{\pm}18.8$). Ninety-five percent of workers responded that they were satisfied or very satisfied with the counseling services. Conclusions: This study suggests the urgent need for the establishment of a national crisis intervention program dedicated to supporting workers in severely stressful situations.

• Korean Journal of Comparative Education
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• v.27 no.1
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• pp.1-28
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• 2017

In this study, the school crisis response system and intervention are examined in the U.S. by reviewing Crisis Response Team(CRT) to give a direction for establishing and improving the school crisis response system in Korea. To do this, a literature review has been conducted focusing on domestic and foreign literature on the school - based crisis response system about the U.S. and Korea. The characteristics of the school-based CRT in the U.S. are as follows. First, in the U.S., the organizational structure and financial support for school - based crisis response has been stated by law so that the roles and responsibilities of region, district, school have been clearly defined. Second, in the event of a school crisis, the school have been shared the role of professional crisis response according to the Incident Command System and coordinates communication smoothly between each area of society through cooperation with CRT. Third, CRT prevents burnout by showing flexibility in team composition so that CRT members are not tired or overwhelmed by a crisis event, and focuses on strengthening the crisis capability of the school itself through cooperation between the school and CRT. Fourth, the school-based CRT in the U.S. conducts a step by step crisis intervention from prevention to prolonged post management. Based on these results, implications for the establishment and improvement of school-based crisis response system in Korea are discussed.

• The Korean Society of Law and Medicine
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• v.19 no.1
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• pp.23-80
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• 2018

Since the 1960s, the United States' (U.S.) deinstitutionalization policy has reinstated people with mental illness into communities. Unfortunately, when untreated, some people with psychiatric disorders become homeless, and some commit serious crimes during a psychological crisis. Assisted Outpatient Treatment (AOT), also known as Kendra's Law in New York and Laura's Law in California, provides treatment, services and support to people with mental illness in the community. AOT has repeatedly been found effective and is recognized as an evidence-based practice. The response to the mental health crisis (crisis intervention) in the U.S. has also been successful in preventing worsening mental illness and related criminality and other issues. This paper provides an opportunity to create a platform from which to learn how to successfully apply the AOT and crisis intervention of the U.S. to South Korea within the cultural and societal context when establishing social services for people with mental illness in South Korea's communities.

• Journal of Korean Academy of Nursing
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• v.30 no.6
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• pp.1389-1399
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• 2000

Massage therapy is a traditional, alternative and nonphamacological means of promoting rest and relaxation. However, nursing intervention by massage for middle-aged women is rarely practiced by nurses. The purpose of this research was to examine the effects of the hand and arm massage as an independent nursing intervention tool for middle- aged women. The data used in this research were collected from forty-nine subjects using a nonequivalent control group non- synchronized design. Twenty-four persons for the experimental group and Twenty-five persons for the control group were selected from D city and C city from July 1997 to September 2000. Subjects' ages were between forty and fifty-six years old with mean the age of 45.6. Hand and arm massage developed by Cayce and Reilly was applied to the experimental group for a session of 15 minutes two or three times a week for four weeks. The instruments used for the measurement of the subjects' stress, anxiety, depression and the middle-life crisis were Langners's 22-item Self-rating Depression Scale, and Kim's Middle Life Crisis Scale(1988). These psychological factors were measured before and after the implementation of hand and arm massage. The data were analyzed with mean$\pm$s.d, percent, t-test, and a paired t-test. The results were summarized as follows; 1. Before the treatment, there were no significant differences between the two groups. 2. After the treatment, there were significant differences in the stress and the occurrence of mid life crisis between the two groups. The findings suggest that the use of the life crisis. Therefore, it is recommended that hand and arm massage be used as an independent nursing intervention tool for middle-aged women. For further research, is needed replication of this concept of research with different subjects in a larger population. Also, it is recommended to investigate the effects of massage with aroma therapy for the berefit of decreasing womens' stress level further.

• Journal of the Korea Convergence Society
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• v.12 no.12
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• pp.281-286
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• 2021

This study is a basic study on COVID-19 and human quality of life. The purpose of the study is to reveal what changes are made in people's lives after a disaster and to provide basic data for crisis intervention research to effectively improve life satisfaction after a disaster to all subjects living in this era. As a result of the study, changes in life before and after COVID-19 differed depending on the subject. COVID-19 is certainly a major disaster for our society. In order to wisely cope with such a disaster situation, it can be said that a crisis intervention program is urgently needed. It can be said that a program is required to immediately focus on the crisis situation according to the target and evaluate the current difficulties to understand the client's response to the situation and relieve their feelings such as anger and anxiety.

• Korean Journal of Social Welfare
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• v.35
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• pp.263-288
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• 1998

The aim of this study was to analyze the effectiveness of a crisis intervention program for the unemployed. The intervention included understanding one's experiences of unemployment and new dynamics of one's family, improving family relations, decreasing depressed mood through cognitive restructuring, assertiveness training, and job skill acquisition. Ss were 14 recently unemployed adults from Seoul area. A pretest and a posttest were administered. The effect of the program have been analyzed in terms of assertiveness, family relations, and depressed mood. The intervention yielded a statistically significant change in assertiveness for the unemployed who live with their families. The homeless unemployed have shown a statistically significant change in family relations. Qualitative analyses on the group processes also have been conducted. Implications for the future practice are discussed.

• Journal of Families and Better Life
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• v.27 no.3
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• pp.93-114
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• 2009

The purposes of the study were to find the characteristics of spousal conflict, the characteristics of the origin of family in couple, the intervention techniques of the family therapist, and the processes of change in couple through family therapy. The total family counseling was 9 sessions, which included individual and couple therapy. The study used constant comparative analysis by using open coding method to find the factors. The study suggested the whole model for the study, which could be shown the processes of family therapy in this case study, by using graphical network display. The results of study showed the personal characteristics of husband and wife, the characteristics of the origin of family in couple, the intervention techniques of the family therapist, and the processes of change in husband through family therapy by using matrix. The results revealed that there were many differences in characteristics to cause spousal conflicts and characteriscts in family of origin to influence the crisis of divorce. The therapeutic intervention to treat the couples in the crisis of divorce were facilitation of communication between husband and wife, husband's differentiation of self from family of origin, and understanding about the perspectives of family members. As results of therapeutic intervention, there were showed the spousal change of recognition to each other, husband's differentiation of self, wife's growth of self, and improvement of communication.